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HTML

              
                <div id="rock">
<div id="frame">
<h1 id="title">Music Habits Survey</h1>
<p id="description">Let us know what you think</p>
<form id="survey-form" action="#">
  <label for="name" id="name-label">Name</label>
   <input type="text" id="name" placeholder="Type your name" required><br><br>
  <label for="email" id="email-label">Email</label>
   <input type="email" id="email"  placeholder="Type your email" required><br><br>
  <label for="number" id="number-label">Concerts you attended in the last three months</label>
   <input type="number" id="number" min="1" max="5"  placeholder="Type a number"><br><br>
   <label>Favourite music streaming service</label>
  <select id = "dropdown">
    <option value = "1">Spotify</option>
    <option value = "2">Apple Music</option>
    <option value = "3">Play Music</option>
    <option value = "4">Amazon Unlimited</option>
  </select><br><br>
  <label for="music" id="music-label">What is your favorite music genre?</label>
  <input type="radio" name="music" value="rock" checked>Rock 
  <input type="radio" name="music" value="pop">Pop 
  <input type="radio" name="music" value="jazz">Jazz <br><br>
  <label for="time-music" id="checkbox-label">How long do you listen to music every week?</label><br>
    <input type="checkbox" name="time-music" value="1" checked> Less than 1 hour<br>
  <input type="checkbox" name="time-music" value="1-1"> Between 1 and 2 hours<br>
  <input type="checkbox" name="time-music" value="2"> More than 2 hours<br><br>
   <label for="comments" id="comments-label">Any further comments about your music comsumption habits?</label><br><br>
  <textarea name="comments" form="usrform">Enter text here...</textarea><br><br>
    <input type="submit" id="submit" value="Submit">
</form>
</div>
</div>
              
            
!

CSS

              
                html, body {
  margin-top: -15px;
  margin-right: -15px;
  margin-left: -15px;
  padding: 0px;
    font-family:"Trebuchet MS", Helvetica, sans-serif;
    text-align:center;
    min-width:260px;
    color: white;
}
#rock {
  background-image: url("https://jacobsmedia.com/wp-content/uploads/2016/05/rock-n-roll.jpg");
   background-size: auto auto;
  background-position: center;
   background-repeat: no-repeat;
  
  height: 900px;
}
#frame {
  background-color: grey;
  padding: 30px;
  height: 850px;
  opacity: 0.96;
}
#number {
  width: 105px;
}
#title {
  margin-top: 100px;
}
#description {
  margin-top: -10px;
  margin-bottom: 40px;
  font-size: 1.3em;
}
              
            
!

JS

              
                // coded by @SamAI-Software
const projectName = 'survey-form';
localStorage.setItem('example_project', 'Survey Form');
              
            
!
999px

Console